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The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys

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dc.contributor.author Fayyad, John
dc.contributor.author Sampson, Nancy A.
dc.contributor.author Hwang, Irving
dc.contributor.author Adamowski, Tomasz
dc.contributor.author Aguilar-Gaxiola, Sergio
dc.contributor.author Al-Hamzawi, Ali
dc.contributor.author Andrade, Laura H. S. G.
dc.contributor.author Borges, Guilherme
dc.contributor.author de Girolamo, Giovanni
dc.contributor.author Florescu, Silvia
dc.contributor.author Gureje, Oye
dc.contributor.author Haro, Josep Maria
dc.contributor.author Hu, Chiyi
dc.contributor.author Karam, Elie G.
dc.contributor.author Lee, Sing
dc.contributor.author Navarro-Mateu, Fernando
dc.contributor.author O'Neill, Siobhan
dc.contributor.author Pennell, Beth-Ellen
dc.contributor.author Piazza, Marina
dc.contributor.author Posada-Villa, Jose
dc.contributor.author Ten Have, Margreet
dc.contributor.author Torres, Yolanda
dc.contributor.author Xavier, Miguel
dc.contributor.author Zaslavsky, Alan M.
dc.contributor.author Kessler, Ronald C.
dc.date.accessioned 2019-01-25T16:03:21Z
dc.date.available 2019-01-25T16:03:21Z
dc.date.issued 2016
dc.identifier.uri https://hdl.handle.net/20.500.12866/4774
dc.description.abstract We previously reported on the cross-national epidemiology of ADHD from the first 10 countries in the WHO World Mental Health (WMH) Surveys. The current report expands those previous findings to the 20 nationally or regionally representative WMH surveys that have now collected data on adult ADHD. The Composite International Diagnostic Interview (CIDI) was administered to 26,744 respondents in these surveys in high-, upper-middle-, and low-/lower-middle-income countries (68.5% mean response rate). Current DSM-IV/CIDI adult ADHD prevalence averaged 2.8% across surveys and was higher in high (3.6%)- and upper-middle (3.0%)- than low-/lower-middle (1.4%)-income countries. Conditional prevalence of current ADHD averaged 57.0% among childhood cases and 41.1% among childhood subthreshold cases. Adult ADHD was significantly related to being male, previously married, and low education. Adult ADHD was highly comorbid with DSM-IV/CIDI anxiety, mood, behavior, and substance disorders and significantly associated with role impairments (days out of role, impaired cognition, and social interactions) when controlling for comorbidities. Treatment seeking was low in all countries and targeted largely to comorbid conditions rather than to ADHD. These results show that adult ADHD is prevalent, seriously impairing, and highly comorbid but vastly under-recognized and undertreated across countries and cultures. en_US
dc.language.iso eng
dc.publisher Springer
dc.relation.ispartof urn:issn:1866-6647
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Diagnostic and Statistical Manual of Mental Disorders en_US
dc.subject Health Surveys en_US
dc.subject World Health Organization en_US
dc.subject ADHD en_US
dc.subject Adolescent en_US
dc.subject Adult en_US
dc.subject Attention Deficit Disorder with Hyperactivity/epidemiology en_US
dc.subject Attention-deficit/hyperactivity disorder en_US
dc.subject Comorbidity en_US
dc.subject Developed Countries/statistics & numerical data en_US
dc.subject Developing Countries/statistics & numerical data en_US
dc.subject Disability epidemiology en_US
dc.subject Female en_US
dc.subject Humans en_US
dc.subject Impairment en_US
dc.subject Income en_US
dc.subject Male en_US
dc.subject Mental Disorders/epidemiology en_US
dc.subject Patient Acceptance of Health Care/statistics & numerical data en_US
dc.subject Prevalence en_US
dc.subject Risk Factors en_US
dc.subject Treatment en_US
dc.subject Young Adult en_US
dc.title The descriptive epidemiology of DSM-IV Adult ADHD in the World Health Organization World Mental Health Surveys en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1007/s12402-016-0208-3
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#5.01.00
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.24

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